303393 (SFD)T
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY db, FIELD -OFFICE
�
J f I M A M J J A S O N D
PERMIT No.
OWNER
/�
a 1. Cg,1O,5
COUNTY OF RIVERSIDE
77
ITV
A TIONiqq
DST
CONSTRUCTION ESTIMATE
OFFICE
NO. ELECTRICAL FEES
-
NO. PLUMBING FEES
7
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
ok 66
UNITS
$
USE OF PGAMIT
SQ. FT. @ YARD SPKLR SYSTEM
SUPP. PER IT
SQ. FT. @ MOBILEHOME SVC. BAR SINK
MIT N
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
��F.C,
L6
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
393
NOTE: Not to be used as property tax valuation
COPIES
SWIM POOL, PVT
OOK A E # PA E LEGAL DESCRIPTIQIN
FLOOR DRAIN
MECHANICAL FEES
MECHANICAL FEE
SWIM POOL, COMM
$
WATER SOFTENER
SET BACK l0T SIZE
GRP
VENT SYSTEM [j FAN ❑ EVAP. COOL OOD
Cr4
SIGNWASHER
Pj
TO H)
op
fJ
+'
APPLIANCE YER
s 0
GARBAGE DISP SAL
CX3
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR SUSPENDED
PLAN CHECK FEE
$
LAUNDRY TRAY
PLAN NO.
PLAN CHECKER
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
p
KIAlS
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
0d
COMPRESSORHP
�.
CONSTRUCTION FEE
POLE, TEMP/PERM
$
LAVATORY
dID
NO LENDE INVOLVED
r
HEATING SYSTEM ORCED ❑GRAVITY
BOILER B.T.U.
MPERES SERV ENT
SQ.FT. '@ ¢
SHOWER
BATH TUB
ELECTRICAL FEE
DBL
$
SQ.FT. @ ¢
CITY
WATER HEATER
(70
Q.FT.RESID @ 11/4¢
SEWAGE DISPOSAL
CI(7
4;M
`
SQ.FT.GAR @ 3/4¢
STRONG MOTION
HOUSE SEWER
GAS PIPING
Q
$
OWNER/AGE T E '
PERMIT FEE
tj
PERMIT FEE
��
PERMIT FEE
SPECIALINSP
DBL.
TOTAL FEES MOB.HM.FEE
MICRO FEE
:;m'CR. FEE
. CK. FEE
CONST. FEE
EL .FEE
SMI FEE
FEE
PLUM
J f I M A M J J A S O N D
JOB ADDRESS SP NO
R I
OWNER
/�
a 1. Cg,1O,5
76
77
ITV
A TIONiqq
DATE
DST
OFFICE
-
$ .L�. d
7
'78
M H PERMIT FEE
$
USE OF PGAMIT
SUPP. PER IT
PE
MIT N
O.
4a kh# 6W,"'
��F.C,
L6
393
MICROFILM FEE
COPIES
$
OOK A E # PA E LEGAL DESCRIPTIQIN
�.. i
MECHANICAL FEE
DBL
$
USE NO. ZONE
SET BACK l0T SIZE
GRP
P CK BY
Pj
fJ
+'
<
�.r
I S S ,R,
;0—
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL�)AIE IN?PE(;TOR
KIAlS
%/-
CONSTRUCTION FEE
BL
$
NAME OF CONST. LEN ER
BRANCH OFFICE
NO LENDE INVOLVED
r
d�
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
4;M
`
STRONG MOTION
Q
$
OWNER/AGE T E '
RACTOR
INSTRUMENTATION FEE
SPECIALINSP
$
D S
ADDRESS
DEMOLITON
FEE
REGISTRATION
PLUMBING FEE
DBL
$
crry ZIP CODE
CITY ZIP CODE
......�
s
i
TOTAL FEES
TEL. NO. AREA
CODE
TEL. NO.
AREA CODE
LICENSE a
is
CASH ❑CHECK O.❑N.C.❑ Jx
RECEIVED BY TREES REQUIRED
IS PER T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION!OF
0 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
'SEWAGE SYSTEM
/�
T '+ LL
P J ���
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
L,UMrtIN,A i0r4 INSUKANC-t UYUN MY tMFLUYttb. LUMPLIANL-t WITH INt LAWS t- IHt JIAIt Vh
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
e RM 284.208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
_ OF CALIFORNIA.